Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1991
NPI: 1699883900
Practice Locations (2)
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
1700 W STOUT ST
RICE LAKE, WI 548685000
7152366133
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
1700 W STOUT ST, SUITE 400
RICE LAKE, WI 548685000
7152366133
Source: CMS National Downloadable File, September 2026.